Individual
BETHANY HAFENSTEIN-RIEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(920) 219-2324
Mailing address
N6287 COUNTY ROAD G, BEAVER DAM, WI 53916-9687
(920) 219-2324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12371-125
WI
101YM0800X
Mental Health Counselor
Primary
7845226
WI
Other
Enumeration date
12/10/2024
Last updated
02/17/2026
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